Dynasty Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

IHCP-0666 Issued in SC

Legal business name

DYNASTY HOME CARE

Doing business as

Dynasty Home Health Care

Practice address

210 W Stone Ave
Suite LR5
Greenville, SC 29609-5452

Phone

(864) 248-6334

NPI assigned

Feb 8, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lekisha B White

Title

Co Owner

Phone

(864) 363-3374

Specialties & licenses 1

Addresses

Other names 1

• Dynasty Home Health Care Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1609314707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W STONE AVE",
            "address_2": "SUITE LR5",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095452",
            "telephone_number": "864-248-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W STONE AVE",
            "address_2": "SUITE LR5",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095452",
            "telephone_number": "864-248-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LEKISHA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "864-363-3374"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "IHCP-0666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynasty Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Carol Dyar Moss, APRN
• Stephen Howard Dyar Jr., MD
• Christina Dye, AGNP
• Ryan John Dyess
• Jason Dylik, MD
• Dysphagia Partners LLC
• Nicholas John Dziedziejko, D.D.S
• Andre C Eaddy, M.D., PH.D.
• James Andrew Eads, CRNA
• Madeline Mobley Eads, LISW-CP

• In Home Supportive Care Agency in Greenville, SC
• Providers in Greenville, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.